Organization Name: | STATE OF WASHINGTON, WASHINGTON VETERANS HOME |
NPI Number: | 1538159702 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERWIN VIDALLON (CFO) |
Mailing Address: | 1141 Beach Dr E Port Orchard |
State: | WA US |
Postal Code: | 98378 |
Phone Number: | 3608954700 |
Fax Number: | 3608954453 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 08/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | N/A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |